Methylergonovine (Methergine) Nursing Considerations

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Kara Tarr
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Outline

Generic Name

methylergonovine

Trade Name

Methergine

Indication

treatment of post-partum hemorrhage

Action

stimulates uterine muscles causing uterine contraction

Therapeutic Class

oxytocic

Pharmacologic Class

ergot alkaloids

Nursing Considerations

• can cause hypertension, cramps, nausea, vomiting, dyspnea
• monitor BP, heart rate, uterine response
• assess calcium levels – effectiveness ↓ with hypocalcemia
• monitor uterine bleeding and notify physician of any changes

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Transcript

Hey guys, let’s take a look at met. Orine also known as Metin. This is an injectable medication and also an oral medication. So the therapeutic class of met Orine is an oxytocin, which is how the drug works in the body. In the pharmacologic class is an ergot ALO, which is the chemical effect of the drug. So methyl Orgon works by stimulating the uterine muscle causing uterine contraction, which is why we use it for the treatment of postpartum hemorrhage. So some of the side effects that we see with met Orine are things like hypertension, cramping, nausea, and vomiting. 

Let’s take a look at some of the nursing considerations for met. Orine be sure to monitor the patient’s blood pressure, heart rate, uterine response in Ute bleeding, and be sure to report changes to the provider. Before you give this drug to your patient, check their calcium level, because with decreased calcium levels, the effectiveness of Meine is decreased. Along with the side effect already mentioned Meine can cause difficulty breathing in the patient. So guys, we should always be using our personal protective equipment as nurses, but it is increasingly important with giving meth Orine as this drug is known for being a haz hazardous agent. So be safe, use gloves, mask gown when administer, and in fact, this drug should be mixed under a protective hood in the pharmacy. That’s it for meth Orine or met now go out and be your best self today and as always happy nursing.

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Concepts Covered:

  • Fetal Development
  • Terminology
  • Pregnancy Risks
  • Prenatal Concepts
  • Newborn Care
  • Newborn Complications
  • Labor Complications
  • Postpartum Complications
  • Medication Administration
  • Labor and Delivery
  • Studying
  • Postpartum Care
  • Communication

Study Plan Lessons

Alpha-fetoprotein (AFP) Lab Values
Antepartum Testing
Stages of Fetal Development Nursing Mnemonic (Proficiently Expanding Fetus)
What the Heck is Antepartum Testing? – Live Tutoring Archive
Antepartum Testing Case Study (45 min)
Babies by Term
Blood Cultures
Blood Glucose Monitoring
Body System Assessments
Clindamycin (Cleocin) Nursing Considerations
Congestive Heart Failure (CHF) Labs
Disseminated Intravascular Coagulation (DIC)
Eye Prophylaxis for Newborn (Erythromycin)
Eye Prophylaxis for Newborn
Erythroblastosis Fetalis
Fetal Development
Fetal Distress Interventions Nursing Mnemonic (Stop MOAN)
Fetal Environment
Fetal Heart Monitoring (FHM)
Fetal Heart Monitoring Like A Pro – Live Tutoring Archive
Fetal Heart Monitoring Like A Pro 2 – Live Tutoring Archive
Gestational Diabetes (GDM)
Gestational Diabetes and Why YOU Should Know About It – Live Tutoring Archive
Gestational HTN (Hypertension)
Glucagon Lab Values
Glucose Tolerance Test (GTT) Lab Values
Gravidity and Parity (G&Ps, GTPAL)
HELLP Syndrome
HELLP Syndrome – Signs and Symptoms Nursing Mnemonic (HELLP)
Hemoglobin A1c (HbA1C)
Isotonic Solutions (IV solutions)
Labor Progression Case Study (45 min)
Leopold Maneuvers
Magnesium Sulfate
Magnesium Sulfate (MgSO4) Nursing Considerations
Magnesium Sulfate in Pregnancy
Mastitis
Maternal Risk Factors
Mechanisms of Labor
Meds for Postpartum Hemorrhage (PPH)
Meds for PPH (postpartum hemorrhage)
Methylergonovine (Methergine) Nursing Considerations
Newborn Physical Exam
Newborn Reflexes
Nifedipine (Procardia) Nursing Considerations
Nursing Care Plan (NCP) for Abruptio Placentae / Placental abruption
Nursing Care Plan (NCP) for Chorioamnionitis
Nursing Care Plan (NCP) for Diabetes Mellitus (DM)
Nursing Care Plan (NCP) for Dystocia
Nursing Care Plan (NCP) for Maternal-Fetal Dyad Using GTPAL
Nursing Care Plan (NCP) for Meconium Aspiration
Nursing Care Plan (NCP) for Newborns
Nursing Care Plan (NCP) for Placenta Previa
Nursing Care Plan (NCP) for Preterm Labor / Premature Labor
Nursing Care Plan (NCP) for Process of Labor
Nursing Care Plan (NCP) for Transient Tachypnea of Newborn
Nursing Care Plan for (NCP) Fetal Alcohol Syndrome (FAS)
Nursing Care Plan for Newborn Reflexes
Nursing Case Study for Maternal Newborn
Nutrition Assessments
Nutrition in Pregnancy
Nutritional Requirements
OB (Labor) Nurse Report to OB (Postpartum) Nurses
OB Non-Stress Test Results Nursing Mnemonic (NNN)
OB Pharm and What Drugs You HAVE to Know – Live Tutoring Archive
Obstetrical Procedures
Opioid Analgesics in Pregnancy
Pediatric Vital Signs (VS)
Physiological Changes
Possible Infections During Pregnancy Nursing Mnemonic (TORCH)
Postpartum Discomforts
Postpartum Hematoma
Postpartum Hemorrhage (PPH)
Postpartum Interventions
Postpartum Physiological Maternal Changes
Postpartum Thrombophlebitis
Precipitous Labor
Preeclampsia (45 min)
Preeclampsia, Eclampsia, and HELLP Syndrome for Certified Emergency Nursing (CEN)
Preeclampsia: Signs, Symptoms, Nursing Care, and Magnesium Sulfate
Preload and Afterload
Premature Rupture of the Membranes (PROM)
Preterm Labor
Probable Signs of Pregnancy Nursing Mnemonic (CHOP BUGS)
Process of Labor – Baby Nursing Mnemonic (ALPPPS)
Process of Labor – Mom Nursing Mnemonic (4 P’s)
Process of Labor 2 – Live Tutoring Archive
Prolapsed Umbilical Cord
Promethazine (Phenergan) Nursing Considerations
Prostaglandins
Prostaglandins in Pregnancy
Protein (PROT) Lab Values
Retinopathy of Prematurity (ROP)
Signs of Pregnancy (Presumptive, Probable, Positive)
Stages of Fetal Development Nursing Mnemonic (Proficiently Expanding Fetus)
Subinvolution
Terbutaline (Brethine) Nursing Considerations
Tocolytics
Tocolytics
Umbilical Cord Vasculature Nursing Mnemonic (2A1V)
Uterine Stimulants (Oxytocin, Pitocin)
Uterine Stimulants (Oxytocin, Pitocin) Nursing Considerations
VEAL CHOP Nursing Mnemonic (Fetal Accelerations and Decelerations) (VEAL CHOP)